1. Phase 3: RTD Generation is Discontinued

The Department of Health Care Services (DHCS) has eliminated the generation of Resubmission Turnaround Documents (RTDs) (Form 65-1). The discontinuation of RTDs will both increase claims processing efficiency and reduce costs.

RTDs were discontinued in multiple phases. The first phase was implemented in November 2017 and the second phase was implemented in February 2018. The third and final phase implemented in May 2018. The new process will deny claims submitted with questionable or missing information instead of generating an RTD. The generation of RTDs has been completely discontinued and providers will no longer receive RTDs. Any current unprocessed RTDs in the providers possession may still be returned to the DHCS Fiscal Intermediary by the due date listed on the RTD and will be processed as normal.

Additional changes to the provider manual will be announced in a future monthly bulletin. Providers are encouraged to routinely check the Medi-Cal website for more information.

2. CCS Service Code Groupings Update

The following codes will be added to the California Children's Services (CCS) Service Code Groupings (SCGs).

Added Codes:

Effective Date

Code

SCGs

August 1, 2017

CPT-4 codes 81430, 81431

04, 05

Reminder:

SCG 02 includes all the codes in SCG 01, plus additional codes applicable only to SCG 02. SCG 03 includes all the codes in SCG 01 and SCG 02, plus additional codes applicable only to SCG 03. SCG 07 includes all the codes in SCG 01 plus additional codes applicable only to SCG 07.

Effective retroactively for dates of service on or after June 1, 2017, the reimbursement rates for initial and periodic comprehensive medicine evaluation and management for recipients 18-39 years of age (CPT-4 codes 99385 and 99395) are established.

A list of current rates can be found on the Medi-Cal Rates page of the Medi-Cal website.

4. Reminder: VeriFone VX 520 POS Device to Decommission in July 2018

In July 2018, the VeriFone VX 520 Point of Service (POS) device will be decommissioned. Transactions from these devices will no longer be accepted or processed after decommission. A final notification letter will be mailed out instructing providers to return the devices. Providers may contact the POS Help Desk at 1-800-541-5555 (option 5, followed by option 6) for information about the decommission and to learn about available alternative options.

5. July 2018 Medi-Cal Provider Seminar

The July Medi-Cal provider seminar is scheduled for July 17 – 18, 2018, at the Almansor Court in Alhambra, California. Providers can access a class schedule for the seminar by visiting the Provider Training web page of the Medi-Cal Learning Portal (MLP) and clicking the seminar date(s) they would like to attend. Providers may RSVP by logging in to the MLP.

Throughout the year, the Department of Health Care Services (DHCS) and the DHCS Fiscal Intermediary (FI) for Medi-Cal conduct Medi-Cal training seminars. These seminars, which target both novice and experienced providers and billing staff, cover the following topics:

Changes to Medi-Cal billing

Basic and advanced billing issues

Provider-specific billing questions

Specialty programs such as Home Health Agencies (HHA), Home and Community-Based Services (HCBS), Hospice Care and Family Planning, Access, Care and Treatment (Family PACT) Program

Providers must register by July 3, 2018, to receive a hard copy of the Medi-Cal provider training workbooks on the date(s) of training. After July 3, 2018, the workbooks will be available only by download on the Medi-Cal Provider Training Workbooks page of the Medi-Cal website.

Note:

Wi-Fi will not be provided at the seminar. Please plan accordingly.

Providers that require more in-depth claim and billing information have the option to receive one-on-one claims assistance, which is available at all seminars, in the Claims Assistance Room.

Providers may also schedule a custom billing workshop. On the Lookup Regional Representative web page, enter the ZIP code for the area you wish to search and click the “Enter ZIP Code” button. The name of the designated field representative for your area will appear on the map. To contact a regional representative, providers must first contact the Telephone Service Center (TSC) at 1-800-541-5555 and request to be contacted by a representative.

Providers are encouraged to bookmark the Provider Training web page and refer to it often for current seminar information.

6. A New Way to Subscribe – Contact Medi-Cal Subscription Service Representatives

Medi-Cal is committed to keeping you up-to-date on the latest Medi-Cal news and policy updates.

The Medi-Cal Subscription Service (MCSS) is a free service that provides subscribers with personalized email notifications for urgent, high-impact announcements and monthly news/policy updates as they post to the Medi-Cal website.

Providers can now contact MCSS representatives directly at MCSSCalifornia@conduent.com to subscribe and for assistance with managing subscriptions. Subscribing is simple and free!

If you have not yet subscribed to MCSS, Medi-Cal encourages you to utilize one of the following two methods to subscribe.

7. Get the Latest Medi-Cal News: Subscribe to MCSS Today

The Medi-Cal Subscription Service (MCSS) is a free service that keeps you up-to-date on the latest Medi-Cal news. Subscribers receive subject-specific emails shortly after urgent announcements and other updates post on the Medi-Cal website.